Towards Accountability-Centred Practices: Governance in OSCEs Subordinating Patient and Practitioner Clinical Experience

Autor/inn/en	Kearney, Grainne P.; Corman, Michael K.; Johnston, Jennifer L.; Hart, Nigel D.; Gormley, Gerard J.
Titel	Towards Accountability-Centred Practices: Governance in OSCEs Subordinating Patient and Practitioner Clinical Experience
Quelle	In: Advances in Health Sciences Education, 28 (2023) 5, S.1593-1613 (21 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Kearney, Grainne P.) ORCID (Corman, Michael K.) ORCID (Johnston, Jennifer L.) ORCID (Hart, Nigel D.) ORCID (Gormley, Gerard J.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1382-4996
DOI	10.1007/s10459-023-10238-7
Schlagwörter	High Stakes Tests; Allied Health Occupations Education; Medical Education; Ethnography; Objective Tests; Accountability; Governance + Suchen Sie Ihr Suchwort? Medizinische Ausbildung; Ethnografie; Objektiver Test; Verantwortung; Education; Educational policy; Financing; Steuerung; Bildung; Erziehung; Bildungspolitik; Finanzierung
Abstract	New public management ideals and standards have become increasingly adhered to in health professions education; this is particularly apparent in high-stakes assessment, as a gateway to practice. Using an Institutional Ethnographic approach, we looked at the work involved in running high-stakes Objective Structured Clinical Exams (OSCEs) throughout an academic year including use of observations, interviews and textual analysis. In our results, we describe three types of 'work'--standardising work, defensibility work and accountability work--summarising these in the discussion as an Accountability Circuit, which shows the organising role of texts on people's work processes. We show how this form of governance mandates a shift towards accountability-centred practices, away from practices which are person-centred; this lens on accountability-centring during high-stakes assessments invites critique of the often-unquestioned emphasis of new public management in health professions education. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01